Individual
MARY ELLEN PIZZA
Active
Individual
MARY ELLEN PIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35067177
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141209
ANTHEM
OH
01
—
000000270707
ANTHEM
MI
01
—
0105559
BCMH
OH
05
—
0105559
—
OH
01
—
01873
PHC
OH
01
—
063626
AETNA
OH
01
—
10725
HPM
OH
01
—
12-01242
UHC
OH
01
—
12-03671
UHC
MI
01
—
3505802311
BCBS MI
MI
01
—
4519541
AETNA
MI
Enumeration date
08/25/2005
Last updated
07/13/2026
Update your record
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